Reyna R Chavez

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Practice address

1440 S State College Blvd
Suite 3-K
Anaheim, CA 92806-5724

Phone

(714) 758-0660

Fax

(714) 758-0770

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Coast Mobile Radiology, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Anaheim, CA
  • NPI 1659037125

  Radiology, Mobile Mammography

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1629261375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S STATE COLLEGE BLVD",
            "address_2": "SUITE 3-K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065724",
            "telephone_number": "714-758-0660",
            "fax_number": "714-758-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S STATE COLLEGE BLVD",
            "address_2": "SUITE 3-K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065724",
            "telephone_number": "714-758-0660",
            "fax_number": "714-758-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "REYNA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "FAC33625",
            "primary": false
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NORTHERN CALIFORNIA X-RAY PTAN",
            "identifier": "CA236328",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NORTHERN CALIFORNIA MAMMOGRAPHY PTAN",
            "identifier": "CA268381",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LA COUNTY MAMMOGRAPHY PTAN",
            "identifier": "CB276312",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SOUTHERN CALIFORNIA MAMMOGRAPHY PTAN",
            "identifier": "CB284412",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01543590",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SOUTHERN CALIFORNIA X-RAY PTAN",
            "identifier": "CB207156",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maricarmen Chavez
• Noelia Chavez
• Noreen Chavez
• Norma Chavez
• Patricia Chavez, LMFT
• Rosa Chavez, M.S., P.P.S.
• Sandra Chavez
• Shea Chavez
• Susan Garcia Chavez
• Terri A Chavez, OT

• Mobile Radiology Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.